Monthly Match Sign-in Form

Date *

Name *

First

Last

Alias *

Category *

SASS Number

Posse With

Match Fee *

Fort White Gun Club Member – $ 10.00
Fort White Gun Club Non-Member – $ 15.00
Youth – $ 0.00

Total

$ 0.00

Signature *

Fort White Gun Club, Inc.
Release of Liability

This is to certify that the Fort White Gun Club, Inc., its officers, members and the Town of Fort White are hereby release from any and all liability, whosoever arising out of my use of the gun club range, the Fort White Gun Club lease hold, and/or the Town of Fort White property. I hereby indemnify and hold Fort White Gun Club, Inc., its officers, individual members and the Town of Fort White harmless.

Reset Form